DR. BRAD M MUNDT (NPI# 1790790236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790790236 |
| Entity Type | Individual |
| Full Name | DR. BRAD M MUNDT |
| Credential | D.C. |
| Practice Address |
7910 Pacific Ave Tacoma WA 98408-7031 |
| Practice Telephone | 2534733733 |
| Mailing Telephone | 2534733733 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2015-07-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NX0800X |
Chiropractor Specialization: Orthopedic |
CH00034577 | WA | Chiropractic Providers |
| Street Address |
7910 PACIFIC AVE |
| City | TACOMA |
| State | WA |
| Zip Code | 98408-7031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851793467 | Tacoma Wellness Center, Pllc | Specialist | 7910 Pacific Ave, Tacoma, WA 98408-7031 | 2014-09-25 |
| 1114356524 | Deborah Utterback | Massage Therapist | 7910 Pacific Ave, Tacoma, WA 98408-7031 | 2013-11-06 |
| 1972935153 | Paloma Noelle Zamora | Specialist | 7910 Pacific Ave, Tacoma, WA 98408-7031 | 2013-07-30 |
| 1215272398 | Karissa Kephart | Massage Therapist | 7910 Pacific Ave, Tacoma, WA 98408-7031 | 2012-11-30 |
| 1285994053 | Kaitlyn Dean | Massage Therapist | 7910 Pacific Ave, Tacoma, WA 98408-7031 | 2012-05-25 |
| 1437422730 | Ashley Birgen | Massage Therapist | 7910 Pacific Ave, Tacoma, WA 98408-7031 | 2012-02-16 |
| 1073883401 | Amanda Jean K. Alvarez | Massage Therapist | 7910 Pacific Ave, Tacoma, WA 98408-7031 | 2012-01-02 |
| 1992098958 | Holly Ann Price | Massage Therapist | 7910 Pacific Ave, Tacoma, WA 98408-7031 | 2011-05-24 |
| 1164726212 | Kealsye Nicola June Fahey | Massage Therapist | 7910 Pacific Ave, Tacoma, WA 98408-7031 | 2011-01-04 |
| 1689980625 | Amy May Moody | Massage Therapist | 7910 Pacific Ave, Tacoma, WA 98408-7031 | 2010-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053839597 | Michael David Clifton | Chiropractor | 1702 South 72nd Street, Tacoma, WA 98408 | 2017-09-05 |
| 1417405630 | Ashley Mae Grosso | Licensed Practical Nurse | 7011 S I St, Tacoma, WA 98408 | 2016-09-16 |
| 1568845188 | Carolyn M Jacoby | Social Worker | 4850 S Thompson Ave, Tacoma, WA 98408 | 2015-06-30 |
| 1265844385 | Kaitlyn Leigh Laube Ward | Podiatrist | 7808 Pacific Ave Ste 1, Tacoma, WA 98408 | 2014-05-22 |
| 1720315872 | Holly A Roach | Specialist | 414 So. 54th St., Tacoma, WA 98408 | 2009-11-11 |
| 1831328731 | Frederick Joseph Norrick Jr. | Massage Therapist | 5001 Pacific Avenue S, Integrative Body Therapeutics, Gibson Gardens Suite 422, Tacoma, WA 98408 | 2009-07-13 |
| 1528198264 | Susan Joline Henricksen | Massage Therapist | 6618 So L St, Tacoma, WA 98408 | 2007-03-06 |
| 1043364565 | Dawn Michelle Catlow | Massage Therapist | 6201 Pacific Avenue, Tacoma, WA 98408 | 2007-01-22 |
| 1538223227 | Joshua Bleustar | Counselor | 860 South 54th St, Tacoma, WA 98408 | 2006-12-20 |
| 1235291055 | Leonardo F Romero | Chiropractor | 7047 S D St., Ste. B, Tacoma, WA 98408 | 2006-12-15 |
| Find all providers in zip 98408 | ||||
| Taxonomy Code | 111NX0800X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Orthopedic |
| Chiropractic Orthopedics is defined as that branch of chiropractic medicine that includes the continued acquisition of knowledge relative to both normal functions and diseases of the human body as they relate to the bones, joints, capsules, discs, muscles, ligaments, tendons, their complete neurological and vascular components, referred organ systems and contiguous tissues. This also includes the development and perfection of skills relative to health maintenance when such exists and when not, the investigations, historical review, physical detection, correlative diagnosis development and complete management of any disorder within the bounds defined herein. Also necessary is the delivery of the combined knowledge and skill on a primary basis to patients who both need and desire this service to the eventual outcome of remissions, whenever resolution is not readily achievable. In addition the certified chiropractic orthopedist provides consultation services at the request of other qualified doctors seeking assistance in the care of their patients. The chiropractic orthopedist may also engage in the teaching and or research of subjects and materials relevant to pursuing the quest for knowledge in the ever changing field of the orthopedic specialty. |
| Notes: Source: American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073768784 | John William Wilcox | Chiropractor | 41 148th Ave Ne, Suite 2, Bellevue, WA 98007 | 2008-11-21 |
| 1568644177 | Patrick J. Hickman D.c.p.s. | Chiropractor | 312 S Balsam St, Suite A, Moses Lake, WA 98837-1796 | 2007-12-05 |
| 1881875482 | Lawrence John Kalapus | Chiropractor | 20619 42nd Ave E, Spanaway, WA 98387-6709 | 2007-11-25 |
| 1407037831 | Mars Hill Health Inc | Chiropractor | 25854 108th Ave Se, Kent, WA 98030-7737 | 2007-11-14 |
| 1134334261 | Alliance Chiropractic, Inc | Chiropractor | 2946 Eastlake Ave E, Seattle, WA 98102-3010 | 2007-05-11 |
| 1073635413 | Masahiro Takakura | Chiropractor | 7621 Aurora Ave N, Seattle, WA 98103-4749 | 2007-04-05 |
| 1508923277 | Cathy Ann Bangerter | Chiropractor | 10025 Ne 183rd St, Bothell, WA 98011-3421 | 2007-01-02 |
| 1922177476 | Alan E. Sinner | Chiropractor | 203 15th Ave. S.e., Puyallup, WA 98372 | 2006-11-07 |
| 1932285822 | James Snyder | Chiropractor | 2909 W Northwest Blvd, Spokane, WA 99205-2378 | 2006-10-31 |
| 1225110216 | Raymond Theodore Hanson | Chiropractor | 603 E 8th St, Port Angeles, WA 98362-6251 | 2006-10-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.